1. The Positive Force Difference: Peers, Engagement, and Partnerships Justin Patrick Jones, MA Positive Force Program Manager

2. WHAT DOES SUCCESS LOOK LIKE FOR A PEER- BASED PROGRAM SERVING THE MYRIAD NEEDS OF PEOPLE LIVING WITH HIV/AIDS? Question for the presentation: SAN FRANCISCO AIDS FOUNDATION / POSITIVE FORCE2

3. What We Will Cover Today The Bubble Brief History of Positive Force Positive Force in 2012 Positive Force Looking Forward Client Success Story: “BC” SAN FRANCISCO AIDS FOUNDATION / POSITIVE FORCE3

4. The Bubble Based in San Francisco Gay community  Well established  Politically connected General openness about HIV  HIV stigma SAN FRANCISCO AIDS FOUNDATION / POSITIVE FORCE4

5. Brief History of Positive Force Founded in 1999 – Cutting Edge PWP  Social  Educational  Prevention Peer-based Shifting Policy and Funding  Focus on treatment and engagement in care SAN FRANCISCO AIDS FOUNDATION / POSITIVE FORCE5

6. Positive Force in 2012 Five core services  Prevention Case Management: Time-limited, multi- session, tailored, peer-based counseling about treatment, care and the challenges of living with HIV  Positive Living for Us Seminar (oldest service): Quarterly weekend intensive seminars, encompassing support and information for guys who are new to dealing with HIV  Physician-led discussion series: Twice-monthly discussions on living well with HIV and guidance from an HIV specialist and peers SAN FRANCISCO AIDS FOUNDATION / POSITIVE FORCE6

7. Positive Force in 2012 Five core services continued  Social programming: Monthly, fosters connection, relationships, and community  Treatment Education Forums: Large audience, expert-presented treatment education events held four times annually SAN FRANCISCO AIDS FOUNDATION / POSITIVE FORCE7

8. Positive Force in 2012 Holistic-clinical synthesis  Multiple levels of engagement  Multiple points of entry  Continuing commitment to peer-based services Service provider outreach  Private primary care and clinics  Other CBOs/NGOs/ASOs Integration of culturally relevant pieces from EBIs SAN FRANCISCO AIDS FOUNDATION / POSITIVE FORCE8

9. Positive Force Looking Forward Continued relationships building PF Online PF Ambassadors Nurses’ collaboration SAN FRANCISCO AIDS FOUNDATION / POSITIVE FORCE9

10. Client Success Story: “BC” From new diagnosis, heightened anxiety and low social support to building relationships, accessing services, self- advocacy and treatment SAN FRANCISCO AIDS FOUNDATION / POSITIVE FORCE10

11. What is success and what elements are needed to get there? Viral load suppression? A client comes in and he’s never been to the doctor is and not virally suppressed. You get him connected to care and virally suppressed and he is done with services. Overall wellbeing? A client comes in the door who is virally suppressed but also suffering from depression and social isolation. SAN FRANCISCO AIDS FOUNDATION11

12. What does success look like? Looking beyond the “standard” treatment and care adherence paradigm to address all needs of the client Multiple means of engagement and points of entry – from low-threshold to high- threshold, from genial to educational to transformational SAN FRANCISCO AIDS FOUNDATION / POSITIVE FORCE12

13. What does success look like? (Cont’d) Client-centered relationship development – between peers (empathic providers) and client and among clients Provider relationship development – creating partnerships to better serve your clients SAN FRANCISCO AIDS FOUNDATION / POSITIVE FORCE13

14. SAN FRANCISCO AIDS FOUNDATION / POSITIVE FORCE14 sfaf.org 1035 Market Street, Suite 400 | San Francisco, CA 94103